Vida Amevinya, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R221939 Issued in MD

Practice address

251 Lewis LN Ste 101
Havre de Grace, MD 21078-3758

Phone

(410) 398-8899

Fax

(410) 398-1477

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Care for Children,LLC

  • Pediatrics Physician
  • Havre de Grace, MD
  • NPI 1174494298
  NPD
• Health Care for Children,LLC

  • Pediatrics Physician
  • Elkton, MD
  • NPI 1376599308
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1124711700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220309",
            "telephone_number": "410-398-8899",
            "fax_number": "410-398-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN STE 101",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783758",
            "telephone_number": "410-398-8899",
            "fax_number": "410-398-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 North St., Suite A",
            "address_2": "PEDIATRICS",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "21921",
            "country_code": "US",
            "telephone_number": "410-398-8899",
            "fax_number": "410-398-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEVINYA",
        "first_name": "VIDA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R221939",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R221939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Pain Management Specialists, LLC
• Advantage Psychiatric Services LLC
• Agape Physical Therapy & Sports Rehabilitation LP
• Anna Lenore Agnew, LCSW C LCA
• Sumera Ali, DMD
• Bridget Nicole Anders
• Kaide Michael Anderson
• Anne Arundel Dermatology, P.a.
• Anthony Felan Saenz
• Lori Ann Antinozzi, CNM

• Family Nurse Practitioner in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.